Cefalea (III): cefalea en racimos, secundarias, farmacológicas y respondedoras a indometacina

The diagnosis of cluster headache is a well-defined clinical. Symptomatic treatment is the highflow inhaled oxygen. The headache is associated with a variety of processes, this requires when the pattern does not conform to a primary headache conduct appropriate studies. Often the presence of headache associated with the use of drugs such as adverse effects thereof. Some headaches characteristically respond to indomethacin and one of them is diagnosed as paroxysmal hemicrania and hemicrania continua criterion. Headache special consideration in certain age ranges for modifying the clinical expression of some primary headaches also prevalence and etiology of migraine changes with age. In the treatment in elderly patients should take into account the fragility of this age group (pluripatilogía, polypharmacy). In women there is a relationship between the influence of sex hormones and the clinical expression of primary headaches such as migraine which determines treatment guidelines. Pregnancy causes hormonal changes that influence the clinical course of primary headaches and the possibility of teratogenicity limits. There are headaches with low prevalence but whose knowledge is essential.